OTTO GUNTRAM THILENIUS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035254

License Status

NOT RENEWED

Business

First Name

OTTO GUNTRAM

Last Name

THILENIUS

Suffix

Business Name

OTTO GUNTRAM THILENIUS MD

Original Issue Date

07/08/1958

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008